| NPI | 1801050539 |
|---|---|
| Professional Name | BRIAN MEDERNACH |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: IL 036.126376) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: IL 036.126376) |
| Enumeration Date | 2008-07-11 |
| Last Update Date | 2019-06-10 |